Michael Justin Moore in Wichita - Nurse Practitioner
Michael Justin Moore - NPI 1427247121
Michael Justin Moore is a Nurse Practitioner in Wichita, Kansas. Michael Justin Moore practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Michael Justin Moore is 1427247121. The last update date is 2008-11-20.
Michael Justin Moore's current location address is 2610 N Woodlawn Blvd, Wichita, Kansas. You can contact this provider via phone number 3168582885 and fax number 3168582530. The mailing address for Michael Justin Moore is 2610 N Woodlawn Blvd, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Justin Moore |
|---|---|
| Address | 2610 N Woodlawn Blvd, Wichita, Kansas |
| Phone Number | 3168582885 |
| Fax Number | 3168582530 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1427247121 |
|---|---|
| Provider Enumeration Date | 2007-10-18 |
| Last Updated Date | 2008-11-20 |
Provider Mailing Address Detail
| Address | 2610 N Woodlawn Blvd |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672202729 |
| Phone Number | 3168582885 |
| Fax Number | 3168582530 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 46060 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200536250C | KS | -- | |
| P00630601 | KS | RR MEDICARE |
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What is the unique identifier code issued to Michael Justin Moore by the Centers for Medicare & Medicaid Services?
The Michael Justin Moore has been assigned the NPI (National Provider Identifier) 1427247121. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Michael Justin Moore located?
The Michael Justin Moore is located at 2610 N Woodlawn Blvd, Wichita, KS 672202729.
What is Michael Justin Moore's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael Justin Moore is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
When did Michael Justin Moore receive its 1427247121 assignment?
The Michael Justin Moore was assigned its 1427247121 on 2007-10-18, which is the date when this unique identifier was issued to the organization.
When was the information related to Michael Justin Moore most recently updated or refreshed?
The details pertaining to the Michael Justin Moore, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-11-20.
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